LARRY R ODOM CRNA
NPI 1255369146
Nurse Anesthetist, Certified Registered in Lawrenceville, GA

Q: What is Larry Odom's NPI number?

The NPI number for Larry Odom is 1255369146. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Larry Odom's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Odom was last updated on May 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2006

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(770) 277-3056(855) 204-5244 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Larry R Odom Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY R ODOM CRNA (NPI 1255369146) is an individual nurse anesthetist, certified registered in Lawrenceville, Georgia, licensed in Georgia (RN051268) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1255369146

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameLARRY R ODOMCredential: CRNA

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-0000

Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569

Phone(770) 277-3056

Fax(855) 204-5244

Sole ProprietorNo

Enumeration DateJune 29, 2006

Last NPPES UpdateMay 6, 2014

✔ NPI 1255369146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in GA · RN051268✔ Licensed in GA · R051268

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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